Nine steps to better nursing management of incontinence
Bart O'Brien
Research Associate, Centre for Research, Nursing and Health Care, University of South Australia, SA
Jacqui Bradford
Lecturer; Research Fellow, Flinders University, SA
Heather Gibb
Professor of Aged and Extended Care, Faculty of Nursing, University of Technology, Sydney NSW
PP: 131 - 138
Abstract
This paper describes the development of a new framework for nursing assessment and management of incontinence using action research (Gibb, O'Brien, Bradford and Curtis 1993).
The authors worked with nurses and residents in a large extended care setting-clarifying their current understandings of continence issues and looking at ways if improving incontinence management. This process led to the development of a model for assessment and management of incontinence.
Keywords
incontinence, continence management, action research, aged care, nursing assessment
References
Bevis EO and Watson J (1989) Toward a caring curriculum: A new pedagogy for nursing. National League for Nursing, New York.
Borrie MJ (1985) Bladder and urethral dysfunction: When are drugs indicated? Current Therapeutics (August) pp.63-81.
Brassard M (1988) The memory jogger. GOAL/ QC, 13 Branch St, Metheun, Massachusetts.
Breakwell SL and Walker SN (1988) Differences in physical health, social interaction and personal adjustment between continent and incontinent homebound aged women. Journal of Community Health Nursing 5(1): 19-31.
Chinn PL and Jacobs MK (1983) Theory and nursing: A systematic approach. CV Mosby, St Louis.
Colling J (1988) Educating nurses to care for the incontinent patient. Nursing Clinics of North America 23(1): 279-289.
Curtis P (1993) The meanings and experience of urinary incontinence: Implications for clinical nursing practice. Annotated bibliography for Gibb H, O'Brien B et al.
Field notes (1992-93) 'Action research into the nursing management of continence'. Research data and field notes archived by the School of Nursing, University of Technology, Sydney.
Fonda D and Wellings C (1987) Urinary incontinence. AECD, Melbourne.
Fonda D, Woodward M, D'Astoli M and Chin WF (1994) The continued success of conservative management for established urinary incontinence in older people. The National Continence Newsletter (September): 7-10.
Friere P (1972) Pedagogy of the oppressed. Penguin, London.
Gibb H (1990) 'Continence regained: An action research study into the management of continence in rehabilitation nursing'. Research report, Deakin Institute of Nursing Research, Geelong.
Gibb H, O'Brien B, Bradford J and Curtis P (1993) 'Action research into the nursing management of continence'. Research Report, Julia Farr Foundation, Adelaide (September).
Habermas J (1987) Knowledge and human interests. trans. by JJ Shapiro, Polity, Cambridge.
Jirovec MM, Brink CA and Wells TJ (1988) Nursing assessments in the inpatient geriatric population. Nursing Clinics of North America 23(1): 219-230.
Keating JC, Schulte EA and Miller E (1988) Conservative care of urinary incontinence in the elderly. Journal of Manipulative and Physiological Therapeutics 11(4): 300-308.
Keister KL and Creason N (1989) Medications of elderly institutionalised incontinent females. Journal of Advanced Nursing 14: 980-85.
Kitson A (ed) (1993) Nursing: Art and science. Chapman and Hall, London.
Lancaster J and Lancaster W (eds) (1982) Concepts for advanced nursing practice: The nurse as change agent. C V Mosby, St Louis.
Lawler J (1991) Behind the screens: Nursing, somology, and the problem of the body. Churchill Livingstone, Melbourne.
McCormick KA, Scheve AAS and Leahy E (1988) Nursing management of urinary incontinence in geriatric patients. Nursing Clinics of North America 23(1): 254-262.
Millard RJ (1987) Bladder control: A simple self-help guide. Williams & Wilkins and Associates, Sydney.
O'Brien B, Bradford J and Curtis P (1993) 'Action research into the nursing management of continence', Research Report for Julia Fan- Foundation, Adelaide.
O'Brien BB (1992) 'Nursing Praxis'. unpublished PhD thesis, Faculty of Nursing, Deakin University, Geelong.
O'Brien BB (ed) (1994) Nursing for Continence. Clinical monograph No. 1, Julia Farr Centre, Adelaide.
O'Brien BB, Gibb H and Bradford J (1993) A model for on-going nursing management of continence. Presented by B O'Brien at the Continence Foundation of Australia's fourth biennial conference, Perth WA, (October).
O'Brien BB, Gibb H and Bradford J (1994) The Julia Farr Centre model for on-going nursing management of continence. The National Continence Newsletter (March edn), pp.5-8.
Ouslander J (1989) Incontinence: out of the closet. JAMA 261(18): 2695-2696.
Palmer M H, German P S, Ouslander J G (1991) Risk factors for urinary incontinence one year after nursing home admission. Research in Nursing and Health 14: 405-412.
Pearson A (1985) 'Introducing new norms in a nursing unit and an analysis of the process of change'. Unpublished PhD thesis, Dept. of Social Sciences and Administration, University of London, Goldsmiths College.
Pearson A, Punton S and Durant I (1992) Nursing beds: An evaluation of the effects of therapeutic nursing. Scutari, Harrow, England.
Rogers S (1992) 'It's just when I pass water: Nursing assessment for continence management'. Monograph No. 1, Julia Farr Centre, Adelaide.
Susman GI and Evered RD (1978) An assessment of the scientific merits of action research. Administrative Science Quarterly 23: 582-603.
Yu LC (1987) Incontinence stress index: Measuring psychological impact. Journal of Gerontological Nursing 13(7): 18-25.
eContent Home
